Doctors vs vets

I personally have nothing against the NHS, IMO it's the way a lot of people use it that cause the massive failings.

I cannot bear people that are always ill for little to no reason, I hear it all the time!

No, you haven't got flu, you've got a RUNNY NOSE. No, you haven't got (undiagnosed) arthritic joints, you've got an ACHEY HIP because this is the first time you have gotten up off the sofa in 8 months. No, you haven't got (undiagnosed) IBS, you've got the s**ts because you drank 11 pints last night and had a grimy kebab!
 
cavalo branco said:
I agree with you, windandrain, I think the NHS frontline works incredibly hard and is completely swamped by TOO many people in this country when the infrastructure is not there to support it. Let's take doctors....why is it so hard for our youngsters to do medicine when there is apparently such a shortage? Is it because it costs so much to train a doctor? Then they get offered peanuts as junior doctors and unacceptable working hours so they leave to work abroad? Rant over....
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Peanuts?

Flipping 'eck! How big are these peanuts coz the jnr drs renting the house on the farm all drive brand new audis and BMW's...

You should see their recycling bin an' all. Do they get special discounts on booze coz I swear it's half the tesco's locals' wine aisle in there.
 
c2b said:
I have to have regular brain mri scans. Last year it took 8 months to get the results. I was also 5hrs after my appointment time for the actual scan. Running slightly behind schedule apparantly. I don't call 5hrs slightly anything.
When I phoned the consultants secretary to chase up the results in case the results had got lost in the post I got a very snotty woman telling me "the consultant was very busy and he does have other patients you know". GP's secretary got a similar reply when she tried. It was only when my GP intervened I actually got the results.
This years results I got within a couple of weeks which is pretty normal timescale and I went in for my mri scan almost exactly on time.
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Horrible! I'm sorry but why do these people work with patients if they can't be nice to people?!
 
AShetlandBitMeOnce said:
I personally have nothing against the NHS, IMO it's way a lot of
people use it that cause the massive failings.

I cannot bear people that are always ill for little to no reason, I hear it all the time!

No, you haven't got flu, you've got a RUNNY NOSE. No, you haven't got (undiagnosed) arthritic joints, you've got an ACHEY HIP because this is the first time you have gotten up off the sofa in 8 months. No, you haven't got (undiagnosed) IBS, you've got the s**ts because you drank 11 pints last night and had a grimy kebab!
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Same. Although to be honest the hospital near me has an a&e department run by chimps. They complain about a 'busy' night (10 people is not busy). One doctor refused to believe I broke my wrist (it had swollen to 3 times its normal size). And a nurse told my mum off for coming in with what turned out to be pancreatitis and said she should have taken painkillers (how would painkillers help constant vomiting and abdominal pain?).

However their other departments such as surgery are brilliant and other hospitals in the area are great too. Love my gp as well. I just refuse to hear that that a&e department are good as they are sloppy despite being under worked. How there has never been an investigation astounds me.
 
It is not the elderly who cause the hold ups in GP surgeries although I will admit they do bed blockin hospital as there is not communty care anymore. Largely speaking round here it is young mums who take little kiddy with a snotty nose or sore throat, Or men who think they are dying because they have rubbed a rib over its mate and given them a pain in their chest. I do know as that it is this the sort of Ambulance call I attend as a first responder. I can go from a numpty drunk who has called the ambulance complaining of chest pains because the cat died ten years ago to a genuine heart problem and have to wait for an hour for an ambulance as I have left the only one available with the drunk. I do see a lot of front line stuff I also was brought up by an adamantly NHS Consultant father who never took a penny from a private patient as he thought it was immoral to do so. He could have been a very wealthy man had he no morals. Health should never depend on your ability to pay it should be free at source for everyone. What I do think is every surgery should have a triage system so a nurse/nurses could weed out the time wasters and pass on the ones in real need to the doctors. I know people complain about the receptionists but sometimes they are all that is there tp keep the system running. Attractive contracts and good pay will soon stop the brain drain but noone is willing to pay for it or make the harsh decisions that means for every heart transplant 20 kidney transplants could take place if the money doesnt stretch to everything then we have to slow down the preservation of life at all costs
 
We don't really seem to have any small people here, I only ever see old people in the docs! I imagine it must depend on area really.

Do most not run a telephone triage these days? My last 4 practices have and it is great, especially when you know what is wrong/what you need
 
Our surgery has a triage system where if you feel you need a doctors appointment the same day you get called by a gp. They spend a few minutes on the phone with you. If necessary they will see you the same day. In my experience this works really well, they have always seem me on the same day when I have needed it. If you need a non urgent appointment you might have to wait but that is no big deal. When I need a gp I know I will be seen the same day. Yet this Surgery is much maligned locally because 'you can never get an appointment'.
 
The vast difference is there are 60 + million people in the UK who at some point need to access the NHS either via primary ,secondary or tertiary care. There are not enough resources to meet demand and this is complicated by too many people going to see their GP,or presenting to emergency services for the most trivial of problems. This behaviour is no doubt connected to the fact the NHS is free at the point of access.
Compare this to Vets who do not have the same demand on services ,together with the fact most of us do not rush to the Vet for trivial ailments. This is linked to the fact we have to pay the Vet and no doubt consider finances before making that phone call. ( I am referring to non urgent ailments).
As for not getting blood results back in a timely fashion : routine bloods are run through machines that produce instant results.
Some blood tests are more complex and need to go to certain labs which takes longer.
Stop bashing Doctors and consider their workload and responsibilities compared to Vets.
Trivial problems simply do not require priority medical attention.
 
Wundahorse said:
The vast difference is there are 60 + million people in the UK who at some point need to access the NHS either via primary ,secondary or tertiary care. There are not enough resources to meet demand and this is complicated by too many people going to see their GP,or presenting to emergency services for the most trivial of problems. This behaviour is no doubt connected to the fact the NHS is free at the point of access.
Compare this to Vets who do not have the same demand on services ,together with the fact most of us do not rush to the Vet for trivial ailments. This is linked to the fact we have to pay the Vet and no doubt consider finances before making that phone call. ( I am referring to non urgent ailments).
As for not getting blood results back in a timely fashion : routine bloods are run through machines that produce instant results.
Some blood tests are more complex and need to go to certain labs which takes longer.
Stop bashing Doctors and consider their workload and responsibilities compared to Vets.
Trivial problems simply do not require priority medical attention.
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Not doctor bashing... Just system bashing.

They are a victim of the NHS success. Not all bad.
 
Ok - I'll try again. I deleted my last 2 posts as I felt it was pointless to try and explain a failing system but basically, surgeries access to facilities such as xrays and lab testing of bloods is totally outside of their control as these facilities are not available in house. Unlike vets, surgeries income is controlled by government funding and there is no resources to increase staff numbers or facilities in response to demand or patient numbers, there is not funding, man power or even space to do so, so as expectation and demand rises there is no capacity to respond. The daily mail and others has grossly misrepresented income and fuelled deep resentment of doctors - many surgeries are barely financially viable. The vast majority of GP's still strongly believe in compassion and good care but face a massive daily fight against an overwhelmed system to try and deliver this. There are no appointment systems to suit everyone. Triage works for the relatively fit infrequent attender, not the chronic vulnerable patients, book in advance gets totally booked out. There is no capacity to simply increase appointments - there is no one to offer them.
 
The NHS needs and deserves more money and less interference. From someone who's lived in the US without being able to afford health insurance, you don't want that. Stop voting for governments that gut social services, and that try to justify this by setting up straw men to draw the blame.
 
I appreciate its a terrible system and people are doing their best, but my experience of the NHS is abysmal! I got decked off a horse and went to A&E. I was complaining of chest pain and weird sounds/feelings in my lungs. I was xrayed and told there was nothing to see and sent home. I went back twice in absolute agony and with a crackling feeling/noise and something that appeared to be moving under my boob on the left side. The second time was at 3am, I had crawled on my hands and knees to get my phone and call my mothers as my chest was rippling and the pain was off the scale. A&E told me I "was a silly girl and bruised ribs do hurt"

I'm sure they do, but it wasnt that. I got called back in 6 weeks later as an emergency. Got to A&E and all hell let loose and I was rushed through, feeling very confused by this point as I felt ok. Turned out my lung was popped and collapsing initially and the second time I'd gone back was it re inflating itself. I was lucky it did,if it had collapsed I'd have been in serious trouble! When they showed me the inital xrays it was obvious to me there was one lung "lower" than the other, so how trained doctors missed it is beyond me!

The second time, I again got decked by a horse, and was rushed to A&E. They had actually called the air ambulance but it couldnt land due to the horses. I was in absolute agony even after morphine etc. They xrayed me and parked me in a cubicle for 3 hours, at which point they came in and said there was nothing wrong and I was to go home. I told them I couldnt stand and they sent in 2 porters who tried to lift me to my feet. I went mental! Thank god I did! They all tutted and rolled their eyes and said that pulled muscles were painful, blah, blah.

I was in so much pain I didnt care. They sent me for a CAT scan, again rolling their eyes and saying it wasnt necessary. I came out of the CAT scan and all hell let loose. On the way back to A&E a health care assistant told me that my back was fractured and it was "really, really bad" and to "stay very still". Probably not the best way to break the news!

Turns out I had a burst vertebrae with bits of bone everywhere as the vertebrae had completely shattered. I spent 3 weeks in HDU and narrowly avoided surgery as it was an unstable fracture. If I had let those porters lift me to my feet like they wanted I probably wouldnt have ever walked again. I was very lucky I kicked off the way I did.

My experience in HDU was horrific as well sadly. And following it I was never offered any sort of physio or treatment, just endless prescription opiates.

I understand they are grossly overworked and understaffed, but I have seen the xrays from both accidents and its very clear to anyone that my lung was out of place and that my vertebrae was literally gone. I dont care how tired you are, you wouldnt miss it even as aly person. So why was it missed both times??

And do not get me started on the GP care offered and the fact I spent 4 months last year pretty much bed ridden all because I was anaemic and deficient in B12 and vitamin D.

Something is really, really, really wrong with the NHS and I'm not convinced its just being overworked and underpaid, even though that must be horrific. The medical professionals I meet just dont seem to care :(
 
Well said spooky pony. The public seem unaware of the cuts made by this Government and policies applied which breaks the NHS. This is so close to my heart,as a registered Nurse. Too many people also make assumptions about the NHS with no understanding of the reality of what is going in.
 
One of the other problems is the political intereference, by setting "targets". This is one of the reasons so many of us on this board have had difficulties with having very low vitamin D being diagnosed. That is not one of the targets, whereas having a particular percentage of patients having a flu jab, women having smears, patients attending smoking cessation, are part of the target driven culture, if the politicians stopped setting these stupic targets, then maybe doctors could get on with their own job, rather than collecting stats and meeting "targets"
 
My experience of the NHS has been mixed over the years. I live in the country, and my doctor is brilliant. However, I took a friend to A+E in Bath, where they told him to stop wasting their time and take paractamol, it later turned out he had a broken knee. Due to the attitude of the nurse, he ended up having a nurse appointment, and doctors appointment, an x ray, and an MRI. There is a similar story with a friend of mine, who was told to keep her ankle moving, when it was broken in such a way it should have been immobilised.
Then there is my father, who the NHS has in recent years wasted an absolute fortune on, due to neglecting to look at results properly, and nearly killing him with pernicious anaemia. It was mis diagnosed as first Parkinsons, then MSA, and he had scans and numerous visits to the consultants. If they hadn't finally got it right, he would be dead by now.
On the subject of vets, we can at least be picky, I have had a couple who have made similar mistakes, but I am at least able to move in and do something about it.
Personally a system where we paid, and were then reimbursed the majority of it, with employer linked insurance for the rest would prevent people seeking help when they don't need it, and mean we could choose who we use.
 
I can't get an appointment at my GPs for love nor money, I tried for 3 weeks, almost every day, phoning at 8am, no luck. Oh well, hopefully what I wanted checked is nothing, because I'll not be finding out from the NHS it seems.

Do I blame the GPs? No, I blame the crappy government decisions which have brought out beloved NHS to its knees :(
 
FrankieCob said:
I appreciate its a terrible system and people are doing their best, but my experience of the NHS is abysmal! I got decked off a horse and went to A&E. I was complaining of chest pain and weird sounds/feelings in my lungs. I was xrayed and told there was nothing to see and sent home. I went back twice in absolute agony and with a crackling feeling/noise and something that appeared to be moving under my boob on the left side. The second time was at 3am, I had crawled on my hands and knees to get my phone and call my mothers as my chest was rippling and the pain was off the scale. A&E told me I "was a silly girl and bruised ribs do hurt"

I'm sure they do, but it wasnt that. I got called back in 6 weeks later as an emergency. Got to A&E and all hell let loose and I was rushed through, feeling very confused by this point as I felt ok. Turned out my lung was popped and collapsing initially and the second time I'd gone back was it re inflating itself. I was lucky it did,if it had collapsed I'd have been in serious trouble! When they showed me the inital xrays it was obvious to me there was one lung "lower" than the other, so how trained doctors missed it is beyond me!

The second time, I again got decked by a horse, and was rushed to A&E. They had actually called the air ambulance but it couldnt land due to the horses. I was in absolute agony even after morphine etc. They xrayed me and parked me in a cubicle for 3 hours, at which point they came in and said there was nothing wrong and I was to go home. I told them I couldnt stand and they sent in 2 porters who tried to lift me to my feet. I went mental! Thank god I did! They all tutted and rolled their eyes and said that pulled muscles were painful, blah, blah.

I was in so much pain I didnt care. They sent me for a CAT scan, again rolling their eyes and saying it wasnt necessary. I came out of the CAT scan and all hell let loose. On the way back to A&E a health care assistant told me that my back was fractured and it was "really, really bad" and to "stay very still". Probably not the best way to break the news!

Turns out I had a burst vertebrae with bits of bone everywhere as the vertebrae had completely shattered. I spent 3 weeks in HDU and narrowly avoided surgery as it was an unstable fracture. If I had let those porters lift me to my feet like they wanted I probably wouldnt have ever walked again. I was very lucky I kicked off the way I did.

My experience in HDU was horrific as well sadly. And following it I was never offered any sort of physio or treatment, just endless prescription opiates.

I understand they are grossly overworked and understaffed, but I have seen the xrays from both accidents and its very clear to anyone that my lung was out of place and that my vertebrae was literally gone. I dont care how tired you are, you wouldnt miss it even as aly person. So why was it missed both times??

And do not get me started on the GP care offered and the fact I spent 4 months last year pretty much bed ridden all because I was anaemic and deficient in B12 and vitamin D.

Something is really, really, really wrong with the NHS and I'm not convinced its just being overworked and underpaid, even though that must be horrific. The medical professionals I meet just dont seem to care :(
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Oh my goodness!
 
Employer-linked health insurance? No, terrible idea. What about the self-employed? Or someone who might wish to start a new job/change employer? What if that person is, say, a 50-yo man with a heart condition or type-2 diabetes? Too young to retire, but unemployable because the employers' insurance deem him too high a risk to insure. If he were made redundant, he would be up poo creek without means to propel his canoe. I'm not making this up. This has been reality for many people in the US. I knew many young, healthy people who could only afford insurance to cover catastrophic injury: they gambled that they wouldn't become ill, but wanted to know that a broken leg wouldn't leave them with $70,000 in debt. I'm also not making that up.
 
Quite right! In the USA the biggest cause of bankruptcy is illness. How we moan when our horse insurance doesn't cover the injured tendon etc, imagine what it's like when yur medical insurance won't cover the cancer you have or the type 1 diabetes you developed in childhood, or you have the sad misfortune to have a disabled child who needs a lot of medical care We continually complain about the standard of our NHS but the plain fact is that we pay the smallest percentage of GDP into it than any of the European countries and expect it to pay for every medical emergency and condition. My sister lives in spain, she is often given a choice of medication depending on whether she's willing to pay or not.
spookypony said:
Employer-linked health insurance? No, terrible idea. What about the self-employed? Or someone who might wish to start a new job/change employer? What if that person is, say, a 50-yo man with a heart condition or type-2 diabetes? Too young to retire, but unemployable because the employers' insurance deem him too high a risk to insure. If he were made redundant, he would be up poo creek without means to propel his canoe. I'm not making this up. This has been reality for many people in the US. I knew many young, healthy people who could only afford insurance to cover catastrophic injury: they gambled that they wouldn't become ill, but wanted to know that a broken leg wouldn't leave them with $70,000 in debt. I'm also not making that up.
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I can TOTALLY Sympathise Frankiecob. I thought I'd had a bad experience - but yours makes mine look positively fantastic.
I came off my horse 4 weeks ago today. I was hacking alone when it happened but was found by another rider from the livery who luckily came along behind me.
I'm almost sure I was knocked unconscious when I hit the deck. At that point we thought I was simply concussed.
When I was taken home and took off my coat I realised I had a broken collar bone as it was almost poking through the skin. I was also struggling to breathe very deeply.
Up A+E -they X-rayed my collar bone and gave me an appointment for the fracture clinic for the next day.
I repeatedly told everyone I saw that I couldn't breath very well. I was told that it was probably cracked ribs and they ARE painfull!!
I came back the next day for the fracture clinic appointment and was finally seen about 3 hours after my appointment time.
My breathing had deteriorated even more by then - so I continued to bang on about it!!
Well over 24 hours after the accident someone suggested I was sent for a chest x-Ray!
I had 3 very badly broken ribs and a collapsed lung.
They then rushed me back into A+E to have a chest drain put in and was admitted as an emergency.
The following morning in hospital, the healthcare assistants came round to help people to get washed etc.
They clearly had no clue what the chest drain was, how it worked or what to do with it.
It was in their way so one of them picked it up and stood it on the bed beside me!!!
The liquid in it siphoned back down the tube and into my chest cavity. It was excruciating and b****y scary.
All I could do was flail my arms about to tell them something was wrong. I was told to calm down and stop panicking!
Within a minute or so somebody realised and put it back on the floor.
The next day I made sure I got myself out of bed to go and wash myself - taking my 'handbag' with me!!
I was in for 5 days. Since being home I've been under the care of the GP. The wound from the chest drain got infected and I was prescribed the wrong anti biotics for it - which have given me the most horrendous stomach upset - just to add to my problems.
So yes I agree something IS very wrong with the NHS. It has been a scary and enlightening experience all round.
 
Wundahorse said:
Well said spooky pony. The public seem unaware of the cuts made by this Government and policies applied which breaks the NHS. This is so close to my heart,as a registered Nurse. Too many people also make assumptions about the NHS with no understanding of the reality of what is going in.
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With the full intention of privatising healthcare and making everyone have private health insurance, as inUSA. God help us!
 
When I was in Boston USA- a generally affluent area I was deeply shocked to see the staggering number of amputees, blind young people and young stroke victims around and about almost certainly a result of untreated blood pressure and untreated diabetes because people couldn't afford the treatments, these complications of chronic but treatable illness are rare as hens teeth in this country these days - yes they happen but nothing like I saw there - it was like a glimpse back to Victorian England in a modern developed community. I shudder to think we could go back there.
 
JLD said:
When I was in Boston USA- a generally affluent area I was deeply shocked to see the staggering number of amputees, blind young people and young stroke victims around and about almost certainly a result of untreated blood pressure and untreated diabetes because people couldn't afford the treatments, these complications of chronic but treatable illness are rare as hens teeth in this country these days - yes they happen but nothing like I saw there - it was like a glimpse back to Victorian England in a modern developed community. I shudder to think we could go back there.
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We won't get back there... the NHS will remain as it's a great vote-winner. No party would like to be the one to close it down.

However, it DOES need to evolve. To become better at managing it's budgets, patients and provisions. At the moment the target driven culture leaves people vulnerable. Some departments get massive budgets while others have to make do just because they are not flavour of the month. Increasingly, doctors have to become business managers and spend an increasing amount of time fighting the bureaucrats to treat individuals.

I have no idea what the answer is but my business provides a huge amount of sponsorship to teach hospital doctors to become business people and accountants in order to ensure their department gets a share of the pot. They are skilled, but these skills are wanted in order to fight the CCGs just to treat patients. All the CCG cares about is hitting the "big wins", reducing spend no matter what. Yet the spend doesn't go down because they need to spend more recruiting expensive coin-counters in order to justify the most miniscule of decisions.

Madness.
 
no system is perfect and i am not disputing that sometimes things are missed, not pursued, some of which have a dramatic outcome. But even in private care this happens, and it is the NHS which has to pick up the pieces. we have developed the NHS from a front line service which treated basic health problems into a large organisation which we can treat infertility, use targeted cancer therapy, ct/MRI scans are now becoming routine for the diagnosis of disease. All these things cost money, some more than others, but at the same time this wonderful government has decided to remove what it sees as not required services in the community. where we had the staff to look in on the elderly now they have to do with a 10-15 min visit to check they have taken the pills, things happen/overlooked and the prevention is removed. there are changes in mental health support within the councils............this increases pressure on the NHS and the police, people need to remember that everything is intertwined with each other. for example treat a person with cataracts and this removes their reliance on other services when their sight is regained.

Personally i am proud of a system where it doesn't matter which economic group you live within we as the country believe in looking after the health of everyone. i hope never to have use the expensive MRI, the targeted therapy for cancer but i do not begrudge my taxes being used to treat someone.

And the subject of junior doctors, this means anyone that is not a consultant broadly speaking and 2 a student who started medical school is expected to be 80-100K in one form of debt or another.
 
Emby said:
The following morning in hospital, the healthcare assistants came round to help people to get washed etc.
They clearly had no clue what the chest drain was, how it worked or what to do with it.
It was in their way so one of them picked it up and stood it on the bed beside me!!!
The liquid in it siphoned back down the tube and into my chest cavity. It was excruciating and b****y scary.
All I could do was flail my arms about to tell them something was wrong. I was told to calm down and stop panicking!
Within a minute or so somebody realised and put it back on the floor.
The next day I made sure I got myself out of bed to go and wash myself - taking my 'handbag' with me!!
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:eek3: I hope that got reported, that is truely shocking, surely it is obvious that anything on the floor is meant to be on the floor for a reason!?
 
Just a little comment for anyone who thinks that private medical care is the answer. I had surgery in a good private hospital with a highly reputable surgeon. Unfortunately in the recovery room I had a massive bleed, as the hospital only has one operating theatre and the surgeon had already started his next operation I couldn't be taken back in until the theatre was clear. I lost a huge amount of blood and was in the HDU overnight receiving 3 units of blood. In our local NHS hospital I suspect there would have been a theatre available much more quickly.
 
hollyandivy123 said:
And the subject of junior doctors, this means anyone that is not a consultant broadly speaking and 2 a student who started medical school is expected to be 80-100K in one form of debt or another.
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Yes it's extraordinary that the government should allow doctors to pay for their education... although that figure is pretty inflated, at graduation it's more like £23k on average according to the BMJ. At £80k you have to wonder what they spent it on!

http://www.bma.org.uk/developing-yo...inance/medical-student-finance-survey-results

However, just like any educational route there is a dropout rate. Some young people do not make it for one reason or another. The very dedicated and talented among them WILL become SpRs and consultants and will be able to repay that. It's no different to any other student though, most will leave university owing £40k these days and with no job prospects, it's not just junior doctors in a pickle.

Put it this way, the institution encourages debt in return for education and most people are able to repay the debt and it's not as if these bright young folk skipped in with blindfolds on... they know the risks. I'm sure many have supportive parents that would have discussed these risks and weighed them up.

However... many employers would consult staff on changes, unlike the NHS which seems to impose requirements ad-lib!
 
Yes, most degree students come out with lots of debt these days, I'm not sure why doctors should be see as a special case on that tbh.
 
tallyho! said:
Yes it's extraordinary that the government should allow doctors to pay for their education... although that figure is pretty inflated, at graduation it's more like £23k on average according to the BMJ. At £80k you have to wonder what they spent it on!

http://www.bma.org.uk/developing-yo...inance/medical-student-finance-survey-results

However, just like any educational route there is a dropout rate. Some young people do not make it for one reason or another. The very dedicated and talented among them WILL become SpRs and consultants and will be able to repay that. It's no different to any other student though, most will leave university owing £40k these days and with no job prospects, it's not just junior doctors in a pickle.

Put it this way, the institution encourages debt in return for education and most people are able to repay the debt and it's not as if these bright young folk skipped in with blindfolds on... they know the risks. I'm sure many have supportive parents that would have discussed these risks and weighed them up.

However... many employers would consult staff on changes, unlike the NHS which seems to impose requirements ad-lib!
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Thanks for the link can't find where the figure is for your 23k quote....but I did say debt of one form or another so fees which are 9k a year means 45k, the cost of living in halls about 3.5 k for the first year, most medical schools are in expensive towns so rent is about 4-5k a year..not including London .....19.5k which is paid for on loans and living expenses 2k a year so 10k then there are all the books guess they will read some in the library

As there are no grants we are looking at about 75k ish. I only pointed this out as an example, other students have debt, I feel the worse thing we have done is saddle a generation with debt telling them there are all these well paid jobs, all we have done is move the goal posts for entry into the job market.
 
I can only assume Vets are able to manage their practices without too much bureaucracy which gives a certain amount of latitude. This would free up staff to concentrate on attending to the needs of their patients.
The NHS is strangled by bureaucracy that is now called business intelligence. Doctors and Nurses performance is measured by these rules that essentially are targets set by NHS England who commission services. NHS England is run by people who have little idea about the daily work of wards and departments. The BI fails to reflect actual activities and concentrates on ridiculous data. Doctors and Nurses have to do the day job and still find time to record data.
This is where things are not in keeping with the daily demands of the job.
 
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